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Corresponding Author

Mohamed Mosaad Hussain Alaasar

Document Type

Original Article

Abstract

Background: Epidemiologic research indicates The prevalence of thyroid nodules detected by HRUS in people in general ranges from nineteen to sixty-eight percent.

Aim: To evaluate the efficacy of the thyroid imaging, reporting, and data system (TIRAD) in detecting thyroid nodule cancer using histological findings obtained after surgery.

Patients and methods: Twenty patients undergoing open total thyroidectomy at Al-Azhar University Hospitals' general surgery for thyroid surgery departments were included in this prospective research. The patients all had nodular goiters.

Results: For benign tumor diagnosis, TIRAD classified 20%, while histopathology identified 45% as benign (P Value= 0.096). TIRAD had a sensitivity of 33.33%, specificity of 90.91% &overall accuracy of 65%. For the suspicious group, TIRAD classified 70% as suspicious, while histopathology indicated 35% (P= 0.0266); TIRAD had a sensitivity of 71.43%, specificity of 30.77%, and accuracy of 45%. In the malignant group, TIRAD classified 10% as malignant, while histopathology identified 20% (P= 0.3888). TIRAD showed a sensitivity of 25%, a specificity of 93.75%, and an accuracy of 80%.

Conclusion: TIRADS grading is a useful instrument for preoperative evaluation therapy as we found that for benign tumor diagnosis, TIRAD classified 20% with a sensitivity of 33.33%, specificity of 90.91%, overall accuracy of 65%, while for the Suspicious group, TIRAD classified 70% as suspicious with a sensitivity of 71.43%, specificity of 30.77%, & accuracy of 45%. In the Malignant group, TIRAD classified 10% as malignant with a sensitivity of 25%, specificity of 93.75%, an accuracy of 80%.

Keywords

TIRAD; Nodular goiter; Open total thyroidectomy

Subject Area

General Surgery

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